Stream Dx: accurate and efficient, point-of-care uroflometry for improved diagnosis, monitoring, and post-treatment evaluation of LUTS

PROJECT SUMMARYABSTRACT Lower urinary tract symptomsLUTSis one of the most common medical problems among older menaffectingof men by the time they reachyears of age andby the time they reach the age ofLUTS is a progressive disease that has been shown to significantly increase the risk of depression and reduce quality of lifeDue to thisearly detection and active management of LUTS is criticalUroflowmetry is an important test in the diagnosismonitoringand post treatment evaluation of men with LUTSUroflowmeters are devices that generate graphs that characterize the volume and flow rate pattern of the voidFrom these graphsphysicians can identify the peak urinary flowQmaxwhich is the best single measure to predict whether or not a patient s urine stream is obstructedHoweverall uroflowmetry testing is currently being done in clinicwhich has limitationsFirsthaving patients void in an artificial and unfamiliar clinic setting results in a different flow characteristic compared to having them void at homeSecondin clinic testing results in a high number of uninterpretable voids when the patient isn t able to void enough in the clinicUninterpretable voids are not billable by the care provider and the time spent attempting to collect this data in the clinic is wastedIn order to provide an alternative to in clinic testingStream DxInchas developed and patented a low costclinically accurate electronic flowmeter for at home useThis uroflowmeter can generate the same volume and flow data that is collected by in clinic uroflowmeters and can store multiple daysworth of patient void data in memoryData collected on the device can then either be uploaded by the patient to our web based portal for clinician viewing orbe uploaded by Stream DxIncafter mailing the device back to the CompanyIn this Phase II ProposalStream DxIncplans to increase the usability of the Stream Dx uroflowmeter for patients and physiciansFirstthe Company will modify the existing device for handheld use to increase usability and compliance by patientsSecondthe Company will develop mobile apps to capture intake and outflow data for patients and physicians to use in an at home and in clinic settingrespectfullyThirddata analytical tools will be developed on the Stream Dx website to provide physicians with additional methods of analyzing patient void dataFinallythe patient data will be integrated with the local hospital s Electronic Health RecordEHRfor improved accessibility of the data by physicians